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LGBTQ Cultures

What Health Care Professionals Need to Know About Sexual and Gender Diversity
Publication Date
November 8, 2017
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  • Description
    Selected as a Doody's Core Title for 2021!

    Winner of the 2018 AJN Book of the Year Award in the Community/Public Health category.

    Drawn from real-world experience and current research, the fully updated  GBTQ Cultures, 3rd Edition  paves the way for healthcare professionals to provide well-informed, culturally sensitive healthcare to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients.

    This vital guide fills the LGBTQ awareness gaps, including replacing myths and stereotypes with facts, and measuring the effects of social stigma on health. Vital for all nursing specialties, this is the seminal guide to actively providing appropriate, culturally sensitive care to persons of all sexual orientations and gender identities.

    Care for LGBTQ patients with awareness, sensitivity, and knowledge . . .
    • NEW and updated content includes references to case studies, discussion aids, links to videos, and action steps
    • Explains basic concepts and terminology r elated to sexual orientation and gender identity—what constitutes culturally appropriate care and its importance for nurses
    • Offers up-to-date statistics  on healthcare refusal rates, prominent LGBTQ health issues, and social, psychological, and environmental factors affecting LGBTQ health and healthcare
    • Specific information on LGBTQ populations  that helps nurses improve quality of care, care decisions, and referrals
    • Essential classroom and clinical guide— illuminates LGBTQ healthcare needs for all professional healthcare schools and all practice settings—hospitals, clinics, residential programs, private practices, public health policy settings, and more
    • Ideal best practices guide for all nurse clinicians, nurse educators, community health workers, and policy-makers
    • Delineates the needs of different LGBTQ communities, cultures, and populationsTopics include:
    • Diversity issues
    • Developmental issues
    • LGBTQ families
    • Structural changes that need to occur in healthcare systems to create culturally sensitive services
    • Substance abuse issues
    • Mental health issues
    • Risk behaviors, chronic disorders, and serious illnesses
    • Studies and resources for improving inclusion in practice and curricula
    • Structural barriers to quality care—making healthcare settings inclusive
    • Individual, institutional, community, and societal calls to action
    • About the Authors

      Michele J. Eliason, PhD, is Assistant Dean of the College of Health and Social Sciences at San Francisco State University in San Francisco, California.

      Peggy L. Chinn, RN, PhD, FAAN, is Professor Emerita of Nursing at the University of Connecticut and the Editor of Advances in Nursing Science .
      TE: Replace this text with the Full Description. Do not forget to check the Release to Eloquence box in the upper right hand corner
  • Specs
    Product Format
    Trim Size
    6 x 9
    Publication Date
    November 8, 2017
  • Eliason, Michele J Ph.D
    Peggy L. Chinn RN, PhD, FAAN
  • Table of contents
    Chapter 1: Overview and Theoretical Framework
    • Terminology
      • LGBTQ
      • Sexual and Gender Minorities
      • Healthcare Professional
      • Patient/Client/Consumer
      • Culturally Appropriate Care
      Why a Book on LGBTQ Cultures?
    • Why Should I Learn So Much About Such a Small Segment of the Population?
    • Our Philosophy and Basic Assumptions
    • Underlying Assumptions Within this Book
    • Theoretical Framework for the Book
    • Conclusion
    Chapter 2: What's in a Word? Concepts Related to Sex/Gender and Sexuality
    • Sex
    • Gender
    • Sexual Orientation
    • Sexual Expression
    • Gender Identity
    • Intersex/Differences in Sexual Development
    • Gender Expression
    • Sexuality, Gender, and Cultural Diversity
    • Disclosure
      • Coming Out
      • Disclosure to Healthcare Professionals
    Chapter 3: The Deadly Effects of Stigma
    • Terms/Concepts Related to Stigma
      • Homophobia
      • Biphobia
      • Transphobia
      • HIV/AIDS-Related Stigma
      • Heterosexism/Heteronormativity
      • Gender Normativity
    • Internalized Oppression
    • Lifestyle
    • Other Forms of Stigma
    • Social Effects of Stigma
      • Lack of Recognition of Relationships and Family
      • The Right to Adopt
      • Hate Crimes and Violence
      • Discrimination in Employment and Education
      • Discrimination in Housing
      • Effects of Living in "The Closet"
    Chapter 4: Myths and Facts about Sexual Orientation and Gender Identity
    • Myths Related to Sexuality
    • Myths Related to Gender Identities
    • Conclusions
    Chapter 5: LGBTQ Families
    • Defining "Family"
    • Relationships with Families of Origin
      • Coming Out to Parents
      • Coming Out to Children
      • Coming Out to Spouses/Partners
      Intimate Relationships
      • Dating
      • Significant Other Relationships
    • Child Outcomes
    • Divorce
    • LGBTQ Grandparenting
    • Health-Related Family Issues
    • Conclusion
    Chapter 6: Developmental Transitions
    • LGBTQ Childhood
    • LGBTQ Adolescence
    • LGBTQ Young Adulthood
    • LGBTQ Midlife
    • LGBTQ Elders
    • LGBTQ Conclusion
    Chapter 7: Cultures Within Cultures: Diversity and LGBTQ Communities
    • Race/Ethnicity
    • Religion/Spirituality/Moral Beliefs
    • Ability/Disability Status
    • Gender Expression Within Sexual Identities
    • Resiliency
    • Conclusions
    Chapter 8: The Effects of Stigma on Health
    • Sources of Stigma
    • Effects of Stigma on Health
    • The Effects of Living in Fear/Uncertainty
      • Domestic Violence/Intimate Partner Violence
      • The Role of Stress/Distress on Health
      LGBTQ People's Experiences with Healthcare
      • Disclosure Decisions
      • Reactions/Responses from Health Care Providers
      • LGBTQ People's Treatment in Healthcare Settings
      • Treatment of Partners and Family
      • Accessing Healthcare Services
    Chapter 9: Substance Abuse and Mental Health
    • Substance Abuse
      • Alcohol Use and Abuse
      • Drug Abuse
      • Treatment for Alcohol and Drug Problems
      • Smoking
      • Smoking Cessation Programs
      Mental Health
      • Depression and Anxiety
      • Suicide
      • Body Image
      • Treatment of Mental Health Issues
    Chapter 10: Physical Health Disorders
    • Risk Behavior and Health Screening Behaviors
    • Chronic Physical Health Disorders
      • Diabetes
      • Heart Disease
      • Asthma
      • Disability
      • Cancer
        • Cancer and Women
        • Cancer and Men
        • Cancer and Transgender People
    Chapter 11: Provider Attitudes and Knowledge
    • Existing Provider Attitudes and Knowledge
    • Historical Overview of Healthcare Provider Attitude Studies
      • Nursing
      • Medicine
      • Other Health Disciplines
      Improving Health Professional Education
    • Advocacy Efforts with Mainstream Health Organizations/Institutions
    • Resources for Improving Practice and Curricular Inclusion
    • Training Requirements for Practitioners
    • Conclusions
    Chapter 12: LGBTQ Healthcare Professionals
    • Physicians and Medical Schools
    • Nurses and Nursing Schools
    • Other Healthcare Professions
    • Improving the Climate for LGBTQ Healthcare Workers
    • Conclusion
    Chapter 13: Structural Barriers to Quality Care
    • Making Healthcare Settings Inclusive
      • The Website and other Public Information
      • The Waiting/Reception Area
      • Electronic Medical/Health Records
      • Healthcare Intake Forms
      • Clinician Personal Interaction with the Client
      • Confidentiality
      • Dignity and Safety Issues
      • Making Referrals
      Policies in Healthcare Setting
    • Healthcare Equality Index
    • Health Insurance
    • Legal Issues
      • Living Will/Medical Directive
      • Durable Power of Attorney for Health Care/Healthcare Proxy
      • Hospital Visitation Authorization
      • Authorization for Consent to Medical Treatment of Minor
      • Durable Power of Attorney for Finances
      • Wills
      • Trusts
      • Nomination of Conservator or Guardian for a Minor
      • Elder Guardian/Conservator
      • Autopsy and Disposition of Remains
    Chapter 14: Conclusions and A Call to Action
    • A Levels Approach to Change
      • Individual Level
      • Interpersonal Level
      • Institutional Level
      • Community Level
      • Societal Level
      The Ten Things Healthcare Professionals Can Do
      • Number 10: Understand the Far-Reaching Effects of Social Stigma on LGBTQ People, Families, and Communities
        • Action Steps
        ?Number 9: Know Inclusive Language and Use It in Written and Oral Communications
        • Action Steps
        ?Number 8: Develop Written Policies That are Inclusive of LGBTQ People and Their Families
        • Action Steps
        ?Number 7: Recognize the Broad Diversity and Creativity of LGBT Family Structures
        • Action Steps
        ?Number 6: Develop Policies and Procedures for How to Deal with Confidentiality Issues and Recording of Information about Sexuality and Gender in Patient Records, and for Dealing with Inappropriate Comments in Verbal Communications Among Staff
        • Action Steps
        ?Number 5: Recognize the Legal Issues: Have Forms or Information Available for LGBTQ Families for Release of Information, Power of Attorney for Health Care, Guardianship, etc.
        • Action Steps
        Number 4: Know the Potential Consequences of Stress Related to Stigma: Assess for Substance Abuse, Including Tobacco Dependence, Mental Health Problems, Body Image and Weight Issues, Unsafe Sexual Practices, and Domestic Violence as well as Physical Health Problems
        • Action Steps
        Number 3: Celebrate the Diversity of LGBTQ Communities, Based on Differences in Age, Racial/Ethnic Identities, Geography, Immigration Status, Language, Socioeconomic Class, and Education
        • Action Steps
        Number 2: Understand the Effects of Homophobia/B>
      • Action Steps
      Number 1: Reflect on What It Might Be Like to Be an LGBTQ Patient in Your Healthcare Setting - Do you Have Realistic Concerns about How an LGBTQ Person Might Be Treated? If They Are Not Realistic, How Can you Convey to Patients that your Environment Is Safe?
      • Action Steps
  • Review
  • Questions and Answers